Total parenteral alimentation (TPA) in infants has become a routine therapeutic procedure in pediatric centers. In addition to meticulous care of the metabolic needs of a patient receiving this therapy, it is important to monitor the integrity and function of the central venous catheter delivering the alimentation.
A recent situation occurred in which, at the time therapy was discontinued and the catheter removed, a distal fragment of the catheter became unattached and remained in the heart. We report the successful nonsurgical removal of the intracardiac fragment.
Report of a Case.—An infant 2 months 3 weeks old was admitted to the hospital with dehydration secondary to severe diarrhea. After rehydration and a period of restricting oral feedings, the baby was unable to tolerate resumption of oral intake, and total parenteral alimentation was begun. The tip of a central venous Silastic catheter was placed in the right atrium via surgical entrance